C & W DENTISTRY, LLC EMPLOYEES SAVINGS PLAN
|
2016
|
061522562
|
2017-09-28
|
C & W DENTISTRY, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603794809
|
Plan sponsor’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103
|
Signature of
Role |
Plan administrator |
Date |
2017-09-28 |
Name of individual signing |
KIM WASKO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C & W DENTISTRY, LLC EMPLOYEES SAVINGS PLAN
|
2015
|
061522562
|
2016-04-27
|
C & W DENTISTRY, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603794809
|
Plan sponsor’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103
|
Signature of
Role |
Plan administrator |
Date |
2016-04-27 |
Name of individual signing |
KIM WASKO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C & W DENTISTRY, LLC EMPLOYEES SAVINGS PLAN
|
2014
|
061522562
|
2015-06-10
|
C & W DENTISTRY, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603794809
|
Plan sponsor’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103
|
Signature of
Role |
Plan administrator |
Date |
2015-06-10 |
Name of individual signing |
KIM WASKO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C & W DENTISTRY, LLC EMPLOYEES SAVINGS PLAN
|
2013
|
061522562
|
2014-10-11
|
C & W DENTISTRY, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603794809
|
Plan sponsor’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103
|
Plan administrator’s name and address
Administrator’s EIN |
061522562 |
Plan administrator’s name |
C & W DENTISTRY, LLC |
Plan administrator’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103 |
Administrator’s telephone number |
8603794809 |
Signature of
Role |
Plan administrator |
Date |
2014-10-11 |
Name of individual signing |
KIM WASKO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C & W DENTISTRY, LLC EMPLOYEES SAVINGS PLAN
|
2012
|
061522562
|
2013-10-10
|
C & W DENTISTRY, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603794809
|
Plan sponsor’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103
|
Plan administrator’s name and address
Administrator’s EIN |
061522562 |
Plan administrator’s name |
C & W DENTISTRY, LLC |
Plan administrator’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103 |
Administrator’s telephone number |
8603794809 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
KIM WASKO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C & W DENTISTRY, LLC EMPLOYEES SAVINGS PLAN
|
2011
|
061522562
|
2012-07-26
|
C & W DENTISTRY, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603794809
|
Plan sponsor’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103
|
Plan administrator’s name and address
Administrator’s EIN |
061522562 |
Plan administrator’s name |
C & W DENTISTRY, LLC |
Plan administrator’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103 |
Administrator’s telephone number |
8603794809 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
KIM WASKO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
C & W DENTISTRY, LLC EMPLOYEES SAVINGS PLAN
|
2010
|
061522562
|
2011-06-24
|
C & W DENTISTRY, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8603794809
|
Plan sponsor’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103
|
Plan administrator’s name and address
Administrator’s EIN |
061522562 |
Plan administrator’s name |
C & W DENTISTRY, LLC |
Plan administrator’s
address |
65 MAIN STREET, TERRYVILLE, CT, 067865103 |
Administrator’s telephone number |
8603794809 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
KIM WASKO, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|